Organization
ISAAC LAVANT DDS PLLC
Active
Other names
ITALIAN SMILES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIAL ISAAC LAVANT DDS (OWNER)
(602) 791-2650
Entity
Organization
Contact information
Practice address
18275 N 59TH AVE, 128, GLENDALE, AZ 85308-1260
(602) 791-2650
Mailing address
18275 N 59TH AVE, 128, GLENDALE, AZ 85308-1260
(602) 791-2650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008894
AZ
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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